Cynthia Sin-Ae Kwon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30914 Issued in TX

Practice address

6426 Meadowbrook Dr
Fort Worth, TX 76112-5123

Phone

(469) 386-7211

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Austinranch PLLC

  • Dentist
  • The Colony, TX
  • NPI 1053037663
  NPD Authorized official
• Cynthia Kwon PLLC

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1699409235
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1538549183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 NORTHWEST HWY",
            "address_2": "21013",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393524",
            "telephone_number": "469-766-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "469-386-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "CYNTHIA",
        "middle_name": "SIN-AE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Kwaw, RN BSN MS
• Charles A Kwaw, MD
• Lauren Michele Kwiatkowski, MD
• Annick Kwizera
• Patricia Kwofie, MSW
• Paul Hyuk-Chan Kwon
• Sung Joon Daniel Kwon, DDS
• Sunu Joseph Kwon, DC
• Yoomi Kwon
• Kyle and Erin Inc

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.